Alice Cancer Care Management LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

J6958 Issued in TX

Legal business name

ALICE CANCER CARE MANAGEMENT LLC

Practice address

2520 E Main St Ste 200
Alice, TX 78332-4188

Phone

(361) 453-4117

Fax

(361) 453-4218

NPI assigned

Oct 13, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamad A Ghraowi, MD

Title

Owner

Phone

(361) 453-4117

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1003327362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E MAIN ST STE 200",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324188",
            "telephone_number": "361-453-4117",
            "fax_number": "361-453-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E MAIN ST STE 200",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324188",
            "telephone_number": "361-453-4117",
            "fax_number": "361-453-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE CANCER CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "GHRAOWI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-453-4117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "J6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alice Dental PLLC (Dental World)
• Alice Health Medical Clinic
• Alice II Enterprises, LLC (The Premier Memory Care of Alice)

• Hematology & Oncology Physician in Alice, TX
• Providers in Alice, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.